The influence of Moral Sensitivity, Knowledge of Advanced Directives, Good Death Perception on Nurses’ Attitudes toward the Withdrawal of Life-Sustaining Treatment in a General Hospital

2020 ◽  
Vol 23 (2) ◽  
pp. 120-131
Author(s):  
Sun Yeob Choi ◽  
Kon Hee Kim
2020 ◽  
Vol 26 (4) ◽  
pp. 383-392
Author(s):  
Mi Sook Kim

Purpose: This study was a descriptive study to identify factors affecting the attitude toward life-sustaining treatment of nurses working at long-term care hospitals. Methods: Data were collected through structured questionnaires from August 2nd to 27th, 2019. Study participants consisted of 163 nurses who were working for at least 6 months from 7 long-term care hospitals in B and K city. Data were analyzed using t-test, ANOVA, Scheffe' test, Pearson's correlation coefficients, and hierarchical regression with SPSS WIN v 21.0.Results: There were significantly positive correlations between awareness of good death (r=.46, <i>p</i><.001) and perception of patients’ rights (r=.32, <i>p</i><.001). The factors affecting participants’ attitude toward life-sustaining treatment were awareness of good death (<i>β</i>=.35, <i>p</i><.001) and their own view of death (<i>β</i>=.24, <i>p</i>=.001), which explained about 27.0% of the attitude toward life-sustaining treatment.Conclusion: Based on these results, it is necessary to develop nursing educational materials that can establish values for deaths, and cultivate legal and ethical knowledge related to attitude toward life-sustaining treatment. In addition, since the severity of a patient’s condition varies and the characteristics of the institution vary depending on the type of hospital, a study is needed on the relevance of variables considering the hospital environment.


2020 ◽  
Vol 6 ◽  
pp. 233372142090190
Author(s):  
Ismet Koşar ◽  
Melahat Akdeniz ◽  
Ethem Kavukcu ◽  
Hasan Huseyin Avci

Aim: The aim of this study is to draw attention to the subject of “advanced directives,” to create awareness, whether or not they want to investigate to determine the preferences for medical care and applications in the period of end-of-life while individuals can specify their preferences and wishes for medical decisions and take steps for it. Materials and Methods: The study was carried out on individuals aged 20 years and older in family medicine outpatient clinics. A questionnaire consisting of 30 questions was applied to 300 people who volunteered to participate in the study by a face-to-face interview. Results: Of all participants, 70% had not heard of advance directives (ADs) before this survey. Three quarters of participants thought that advanced directives were necessary. The rate of requesting cardiopulmonary resuscitation (CPR) to prolong survival in the case of end-of-life care was 55%; the rate of requesting the continuation of life-sustaining treatment was 24%. Conclusion: Most participants want their own decision to be taken into account in end-of-life care. Family physicians should talk to their patients about ADs via effective communication when people are still healthy.


Author(s):  
Ronald S. Weinstein ◽  
N. Scott McNutt

The Type I simple cold block device was described by Bullivant and Ames in 1966 and represented the product of the first successful effort to simplify the equipment required to do sophisticated freeze-cleave techniques. Bullivant, Weinstein and Someda described the Type II device which is a modification of the Type I device and was developed as a collaborative effort at the Massachusetts General Hospital and the University of Auckland, New Zealand. The modifications reduced specimen contamination and provided controlled specimen warming for heat-etching of fracture faces. We have now tested the Mass. General Hospital version of the Type II device (called the “Type II-MGH device”) on a wide variety of biological specimens and have established temperature and pressure curves for routine heat-etching with the device.


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